Dr. J. Damodharan, MD*


Cardiovascular disease (CVD) is common in the general population, affecting the majority of adults past the age of 50 years. The prevalence of coronary heart disease (CHD) is

approximately one-third to one-half that of total CVD.

No other life-threatening disease is as prevalent or expensive to society. Persons with CVD are likely to die from their


As a diagnostic category, CVD includes three major areas:

  • Coronary heart disease (CHD) manifested by myocardial infarction, angina pectoris, congestive heart failure, and coronary death.
  • Cerebrovascular disease manifested by stroke and transient ischemic attack
  • Peripheral vascular disease manifested by intermittent claudication.

Also of interest, and of increasing importance, are chronic arrhythmias, electrocardiographic abnormalities, and left ventricular hypertrophy, established by electrocardiography or echocardiography.